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<br /> NOi10E OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to"deed"restrictions" �
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any `
<br /> applicable deed resfictions. • `
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake woric,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a inisdemeanor viola6on �
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the �
<br /> intended work,they are advised to contact the Pasco County Building Inspection Divisior�Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or wntractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block'of this appliqtion for which they will be responsible. If you,as the owner sign as the
<br /> contractor,that may be an indication that he is not properiy licensed and is not entitled to pertnitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Trensportation Impact Fees and Recourse Recovery Fees may apply to the construction.of new buiidings,change of
<br /> use in existing buildings,or expansion.of existing buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07; as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
<br /> pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permlt issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in axordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida 3tatutes,as amended): if valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided,with a copy of the "Florida Construction L9en Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Departrnent of Agriculture and Consumer P�ffairs. If the applicant is someone
<br /> other than the"owner",I certify that I have obtained a copy of the above described document and promise fn good faith to
<br /> deliver it to the"owne�'prior to commencement
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIY: I certlfy that all the iMormation in this applica6on is accurate and that afl work �
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development Application is
<br /> hereby made to obtain a permit to do work and installatlon as indicated. i certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perfortned to meet standards of ali laws regulating
<br /> construcdon, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may appiy to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agenaes include but are not limited to:
<br /> - Department of Environmental Protectlon-Cypress Bayheads, WeUand Areas and Environmentaliy Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering �
<br /> Watercourses.
<br /> - Army Corps of Engineers-.Seawalls,Docks,Navigable Waterways.
<br /> - Departrnent of Health & Rehabilitative ServiceslEnvironmental,Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. �
<br /> - US Environmental Protection Agency-Asbestos abatement �
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"uniess expressly permitted.
<br /> - If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume"will be submitted at time of pertnitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone"A"in connection with a permitted building using stem wail
<br /> construction,I cefify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the bu(Iding pertnit issued under the attached pertnit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If 1 am the AGENT FOR THE OWNER;I promise in good faith to irtform the owner of the pertnitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate pertnit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas,or other installations not specifically induded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to vialate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter '
<br /> requiring a correction of errors in plans,construction or violatlons of any codes. Every permit issued.shali become invalid
<br /> uniess the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LEND R OR AN ATTORNEY BEFORE RECORDING Y R NOTICE OF CO ENCEMENT.
<br /> FLORIDA JURAT(F. :11 .03) --
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<br /> � otary Public Notary Publio
<br /> C Co ssion No.
<br /> ,,���P�,,, SYL '_StateofFlorida ,,•�;�;'vP���., SYLVIAA.CAMPBELL
<br /> N e *o ," ,pn��5�r�p@�112939 Name of Notary typed, : �er ,�i -
<br /> �' � My Comm.Explres lul 19,2021 -•, : Commission A GG 112939
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